Evidence map›Paper›PMID 38889928›Full record

ArticleRespiratory care2024

A Summed Score From Cardiopulmonary Exercise Test Parameters Predicts 1-Year Mortality in Newly Diagnosed Interstitial Lung Disease.

Yuan-Yang Cheng, Yu-Chun Lee, Yu-Wan Liao, Ming-Cheng Liu, Yu-Cheng Wu, Chiann-Yi Hsu, Yi-Hsuan Yu, Pin-Kuei Fu

Abstract read
In one paragraph

Article in Respiratory care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yuan-Yang ChengDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung 40705, Taiwan; and Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung 40200, Taiwan.
Yu-Chun LeeDepartment of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Yu-Wan LiaoDivision of Allergy, Immunology and Rheumatology, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Ming-Cheng LiuDepartment of Radiology, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Yu-Cheng WuDepartment of Critical Care Medicine, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Chiann-Yi HsuBiostatistics Task Force of Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Yi-Hsuan YuIntegrated Care Center of Interstitial Lung Disease, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Pin-Kuei FuIntegrated Care Center of Interstitial Lung Disease, Taichung Veterans General Hospital, Taichung 40705, Taiwan; Division of Clinical Research, Department of Medical Research, Taichung Veterans General Hospital, Taichung 40705, Taiwan; and College of Human Science and Social Innovation, Hungkuang University, Taichung 43302, Taiwan. paper199350@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiopulmonary exercise testing (CPET) is a unique diagnostic tool that assesses the functional capacity of the heart, lungs, and peripheral oxidative system in an integrated manner. However, the clinical utility of CPET for evaluating interstitial lung disease (ILD) remains uncertain. The objective of this study was to determine the predictive value of CPET for mortality in subjects with ILD.

methodsWe prospectively enrolled subjects with ILD who underwent CPET at a tertiary medical center in Taiwan and followed up their survival status for 12 months. Mortality prediction was based on comparing CPET parameters between subjects who survived and those who died. We further analyzed CPET parameters that showed significant differences using receiver operating characteristic curves to identify their optimal cutoff values.

resultsA total of 106 newly diagnosed subjects with ILD underwent CPET, and the 1-y mortality rate was 7.5%. Six CPET variables were found to be significant predictors of mortality: peak oxygen consumption, oxygen pulse, end-tidal partial pressure of carbon dioxide, heart rate recovery 1 min after CPET, minute ventilation to carbon dioxide output slope, and functional aerobic impairment. We calculated a summed score by adding the number of CPET variables that exceeded their cutoff values. Subjects with a summed score of 6 had a 1-y survival rate of only 25%, whereas subjects with scores of 0-5 had a survival rate of 98%.

conclusionsIn conclusion, the summed score represents a useful tool for screening patients with ILD who can undergo a CPET to determine their prognosis.

Indexed as

Exercise TestLung Diseases, InterstitialOxygen ConsumptionPredictive Value of TestsAgedCarbon DioxideFemaleHeart RateHumansMaleMiddle AgedPrognosisProspective StudiesROC CurveSurvival RateTaiwanCarbon DioxideCPETinterstitial lung diseasemortalityreceiver operating characteristic

Identifiers

PMID38889928
PMCPMC11469004

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.